Dentist Providers In Eugene, Oregon

Search Dentist NPI records in Eugene, OR

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Eugene, OR. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 295, of which 77 are registered as organizations and 218 as individuals. A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

74% Individuals

26% Organizations

20% Female

54% Male

74% Individual Providers (218)26% Medical Organizations (77)20% Female Providers (59)54% Male Providers (159)

Map of Providers

We have mapped the Dentist providers in Eugene, OR to visually represent the practice location of each individual or organization. Click on any of the the pins to see the provider details at that location.

List of Providers

Table of Dentist NPI Profiles in Eugene, OR
NPI	Name	Address	Insurance	Medicare	PECOS
1003308339	MARIYA MELNIK COSTA (Individual)	2233 WILLAMETTE ST STE B1 EUGENE, OR 97405 (541) 485-6644	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Regence BlueCross BlueShield of Oregon Renaissance Dental	Non-Participating Provider	NO
1003813304	LELAND W. NEBEKER (Individual)	2233 WILLAMETTE ST BUILDING E EUGENE, OR 97405 (541) 687-4867		Non-Participating Provider	NO
1003831579	MICHAEL E LACEY (Individual)	2565 CAL YOUNG RD EUGENE, OR 97401 (541) 686-1197		Non-Participating Provider	NO
1003913906	JEFFREY M MULFORD (Individual)	622 E 22ND AVE EUGENE, OR 97405 (541) 686-9100		Non-Participating Provider	NO
1013567080	KATRINA J DREW, DDS, PC (Organization)	748 GOODPASTURE ISLAND ROAD EUGENE, OR 97401 (541) 686-2446	UnitedHealthcare	Non-Participating Provider	NO
1033484332	DEREK JAMES BEVANS DMD (Organization)	721 COUNTRY CLUB RD EUGENE, OR 97401 (541) 686-1199		Non-Participating Provider	NO
1033516232	DENNIS WADE TRAMMELL (Individual)	2215 WILLAMETTE ST. SUITE B EUGENE, OR 97405 (541) 345-3462		Non-Participating Provider	NO
1033539663	LANE COMMUNITY COLLEGE DENTAL CLINIC (Organization)	2460 WILLAMETTE ST EUGENE, OR 97405 (541) 463-5206	Delta Dental Plan of Oregon	Non-Participating Provider	NO
1043347834	JOHN LILLIS-OLSON (Individual)	2015 WILLAMETTE ST EUGENE, OR 97405 (541) 687-2717		Non-Participating Provider	NO
1043399678	GARY E CARPENTER (Individual)	401 E 10TH AVE SUITE 210 EUGENE, OR 97401 (541) 344-3333		Non-Participating Provider	NO
1043434988	WEST COAST DENTAL (Organization)	595 W 8TH AVE EUGENE, OR 97401 (541) 343-1124		Non-Participating Provider	NO
1043693617	PARISA ANSARI (Individual)	2460 WILLAMETTE ST EUGENE, OR 97405 (541) 463-5206	Delta Dental Plan of Oregon PacificSource Health Plans	Non-Participating Provider	NO
1053113928	GENEVIEVE ELIZABETH ROMANOWICZ (Individual)	2460 WILLAMETTE ST EUGENE, OR 97405 (541) 463-5206		Non-Participating Provider	NO
1053350793	STEVEN EDWARD SMITH (Individual)	911 COUNTRY CLUB RD EUGENE, OR 97401 (541) 342-2477		Non-Participating Provider	NO
1053406587	STEPHEN EDWARD HULL (Individual)	2400 WILLAMETTE STREET EUGENE, OR 97405 (541) 485-0272		Non-Participating Provider	NO
1063527448	DAVID C SARETT (Individual)	895 COUNTRY CLUB RD SUITE C-150 EUGENE, OR 97401 (541) 484-1235		Non-Participating Provider	NO
1073671665	RONALD JAMES LEVINE (Individual)	1310 COBURG RD STE 2 EUGENE, OR 97401 (541) 686-2443		Non-Participating Provider	NO
1073717781	WEST COAST DENTAL (Organization)	1740 W 17TH AVE EUGENE, OR 97402 (541) 484-1835		Non-Participating Provider	NO
1083461008	VIVONA & KAUR DENTAL, LLC (Organization)	4750 VILLAGE PLAZA LOOP STE 200 EUGENE, OR 97401 (541) 683-8646		Non-Participating Provider	NO
1083607006	DONALD D TOWNSEND (Individual)	2101 BAILEY HILL RD STE D EUGENE, OR 97405 (541) 484-1581	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1083773691	JEFF D HULING (Individual)	2457 OAKMONT WAY EUGENE, OR 97401 (541) 484-2046		Non-Participating Provider	NO
1083843072	GILES LOONEY (Individual)	1740 W 17TH AVE EUGENE, OR 97402 (888) 468-0022	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Plan of Oregon	Non-Participating Provider	NO
1083960793	STEVENSON SANDER SMITH (Individual)	911 COUNTRY CLUB RD STE 222 EUGENE, OR 97401 (541) 342-2477		Opted out of Medicare	YES
1093950016	ANDREW NEAL DOW (Individual)	4750 VILLAGE PLAZA LOOP SUITE 102 EUGENE, OR 97401 (541) 654-5482		Non-Participating Provider	YES
1104811199	JOSEPHINE LYNNE STOKES (Individual)	622 E 22ND AVE STE E EUGENE, OR 97405 (541) 686-3003	PacificSource Health Plans	Non-Participating Provider	YES
1104908433	ANTHONY J. ELFORD DDS PC (Organization)	622 E 22ND AVE BLDG F EUGENE, OR 97405 (541) 344-6371	Delta Dental Plan of Oregon UnitedHealthcare	Non-Participating Provider	NO
1114032869	RICHARD E EPPLETT (Individual)	2400 WILLIAMETTE ST EUGENE, OR 97405 (541) 686-0686		Non-Participating Provider	NO
1114098365	JOHN E VILLANO (Individual)	2233 WILLAMETTE ST BLDG G EUGENE, OR 97405 (541) 484-2136	PacificSource Health Plans	Non-Participating Provider	NO
1114348612	XIA LLC ENDODONTIC ASSOCIATES OF EUGENE-SPRINGFIELD (Organization)	85 CENTENNIAL LOOP EUGENE, OR 97401 (541) 342-5578		Non-Participating Provider	NO
1114493582	MATT W ANDERSON DDS PC (Organization)	2215 WILLAMETTE ST STE A EUGENE, OR 97405 (541) 345-4076	Delta Dental Plan of Oregon	Non-Participating Provider	NO
1114924271	ANTHONY JAMES ELFORD (Individual)	622 E 22ND AVE BLDG F EUGENE, OR 97405 (541) 344-6371	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Delta Dental Plan of Oregon Dominion National Florida Combined Life Humana PacificSource Health Plans Paramount Paramount Dental Regence BlueCross BlueShield of Oregon Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1114925930	ROBERT H. STEPHENSON (Individual)	700 COUNTRY CLUB RD EUGENE, OR 97401 (541) 343-8527	BridgeSpan Health Company PacificSource Health Plans Regence BlueCross BlueShield of Oregon	Non-Participating Provider	NO
1124014600	TERRI LEANNE BAARSTAD (Individual)	2921 CRESCENT AVE STE 210 EUGENE, OR 97408 (541) 683-8396	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas PacificSource Health Plans	Non-Participating Provider	YES
1124190608	JOHN L STRINGER (Individual)	1045 WILLAGILLESPIE RD STE 210 EUGENE, OR 97401 (541) 683-6642		Non-Participating Provider	NO
1124254230	JOHN PALMER MCKIM (Individual)	1045 WILLAGILLESPIE RD SUITE 125 EUGENE, OR 97401 (541) 485-8717		Non-Participating Provider	NO
1134336688	DENNIS W TRAMMELL, DMD, MSD, LLC (Organization)	2215 WILLAMETTE ST STE B EUGENE, OR 97405 (541) 345-3462		Non-Participating Provider	NO
1134345606	JAMES J. FORD DDS PEDIATRIC DENTAL ASSOCIATES (Organization)	1045 WILLAGILLESPIE RD SUITE 100 EUGENE, OR 97401 (541) 686-2446		Non-Participating Provider	NO
1134384472	BENITA PEI-LIN WONG (Individual)	2650 SUZANNE WAY SUITE 170 EUGENE, OR 97408 (541) 683-8490	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	YES
1134559131	GARNACHE DENTAL LLC ASPEN DENTAL (Organization)	1055 VALLEY RIVER WAY EUGENE, OR 97401 (541) 505-3185		Non-Participating Provider	NO
1144255043	DENNIS M DUNNE (Individual)	1600 EXECUTIVE PKWY SUITE 350 EUGENE, OR 97401 (541) 485-0175	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dominion National Florida Combined Life Humana Paramount Paramount Dental	Non-Participating Provider	NO
1144323668	MICHAEL J DEVEREUX (Individual)	2477 OAKMONT WAY EUGENE, OR 97401 (541) 484-1292		Non-Participating Provider	YES
1144350968	WILLIAM B DELAGE (Individual)	2233 WILLAMETTE ST STE A EUGENE, OR 97405 (541) 686-9545		Non-Participating Provider	NO
1144709635	TYLER D. CLARK DMD, PC (Organization)	27 W 17TH AVE EUGENE, OR 97401 (541) 344-0413		Non-Participating Provider	NO
1154304020	SHAWN A ECKSTROM (Individual)	51 SANTA CLARA AVE EUGENE, OR 97404 (541) 686-4567		Non-Participating Provider	NO
1154314599	DAVID A. LESTER (Individual)	2834 CRESCENT AVE EUGENE, OR 97408 (541) 686-9372	BridgeSpan Health Company Delta Dental Plan of Oregon PacificSource Health Plans Regence BlueCross BlueShield of Oregon	Non-Participating Provider	YES
1154365096	HELEN KAY LESTER (Individual)	2377 OAKMONT WAY EUGENE, OR 97401 (541) 686-2320		Non-Participating Provider	YES
1154530509	DREW D WEBSTER (Individual)	2475 OAKMONT WAY EUGENE, OR 97401 (541) 344-3393	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Plan of Oregon Dentegra Insurance Company Dominion National Florida Combined Life Humana PacificSource Health Plans Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1164517405	WILLIAM BREEN (Individual)	895 COUNTRY CLUB RD C-100 EUGENE, OR 97401 (541) 343-1877		Non-Participating Provider	NO
1164597878	JAMES JONATHAN FORD (Individual)	1045 WILLAGILLESPIE RD SUITE 100 EUGENE, OR 97401 (541) 686-2446	PacificSource Health Plans	Non-Participating Provider	NO
1164651634	PHILIP BENJAMIN MEYER (Individual)	1400 MILL ST EUGENE, OR 97401 (541) 342-8302	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Delta Dental Plan of Oregon Dentegra Insurance Company Dominion National Florida Combined Life Humana PacificSource Health Plans Paramount Paramount Dental Regence BlueCross BlueShield of Oregon UnitedHealthcare	Non-Participating Provider	NO
1164772554	WENLANG ZHANG (Individual)	1680 CHAMBERS ST SUITE 204 EUGENE, OR 97402 (541) 345-2042		Non-Participating Provider	NO
1174522924	DAVID BREWER ANDERSON (Individual)	2550 WILLAKENZIE RD EUGENE, OR 97401 (541) 343-5512	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Dominion National PacificSource Health Plans Paramount Paramount Dental Regence BlueCross BlueShield of Oregon UnitedHealthcare	Non-Participating Provider	NO
1174671705	DAVID A. LESTER, DDS, PC (Organization)	2834 CRESCENT AVE EUGENE, OR 97408 (541) 686-9372		Non-Participating Provider	NO
1174730253	JOHN P MCKIM DMD PC (Organization)	1110 FAIRFIELD AVE EUGENE, OR 97402 (541) 689-1645		Non-Participating Provider	NO
1174838494	LAURA RAILAND (Individual)	2620 E 43RD AVE EUGENE, OR 97405 (503) 501-6315	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dentegra Insurance Company Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1184105678	STEPHEN JOHN BARRETT (Individual)	1415 PEARL ST EUGENE, OR 97401 (541) 344-8302	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Delta Dental Plan of Oregon Dominion National Florida Combined Life Humana PacificSource Health Plans Paramount Paramount Dental Regence BlueCross BlueShield of Oregon Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1184780280	ADAM MARTIN (Individual)	4122 QUEST DR EUGENE, OR 97402 (541) 359-3261	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Oklahoma Select Health	Non-Participating Provider	NO
1184855967	TIMOTHY RICHARDSON (Individual)	4122 QUEST DR EUGENE, OR 97402 (541) 844-1667	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Delta Dental Plan of Oregon Dominion National Florida Combined Life Humana PacificSource Health Plans Paramount Paramount Dental Regence BlueCross BlueShield of Oregon Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1194088823	CHRISTOPHER TERRELL BAILEY (Individual)	1740 W 17TH AVE EUGENE, OR 97402 (888) 468-0022	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BlueCross BlueShield of Tennessee Cigna Healthcare Humana	Non-Participating Provider	NO
1194369801	ANASTASIA MOSPANOVA (Individual)	1740 W 17TH AVE EUGENE, OR 97402 (458) 210-3543	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Dentegra Insurance Company Humana Regence BlueCross BlueShield of Oregon Renaissance Dental	Non-Participating Provider	YES
1194819557	DAVID SCOTT FENTON (Individual)	895 COUNTRY CLUB RD STE C100 EUGENE, OR 97401 (541) 343-1877		Non-Participating Provider	NO
1194825950	MERCEDES RAQUEL DEL VALLE (Individual)	388 HIGH ST EUGENE, OR 97401 (541) 341-1404	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Delta Dental Plan of Oregon Dominion National Florida Combined Life Humana PacificSource Health Plans Paramount Paramount Dental Regence BlueCross BlueShield of Oregon UnitedHealthcare	Non-Participating Provider	YES
1205181146	ELIZABETH CATHERINE GOMEZ SASSE (Individual)	1045 WILLAGILLESPIE RD STE 250 EUGENE, OR 97401 (541) 683-8396	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dentegra Insurance Company Dominion National Humana PacificSource Health Plans Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	YES
1205928165	FRED C PLATT DMD PC (Organization)	1110 FAIRFIELD AVE EUGENE, OR 97402 (541) 689-1645		Non-Participating Provider	NO
1215150115	MICHAEL LEON UMBERGER (Individual)	4765 VILLAGE PLAZA LOOP S101 EUGENE, OR 97401 (541) 681-9999		Non-Participating Provider	NO
1215202882	JEFFREY THAYER (Individual)	440 COBURG RD EUGENE, OR 97401 (541) 879-2636	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Regence BlueCross BlueShield of Oregon Renaissance Dental	Non-Participating Provider	YES
1215598982	DANE SCHAPPER (Individual)	95 DIVISION AVE STE A EUGENE, OR 97404 (541) 345-0004	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dominion National Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1225185440	DARREL JOE JENSON (Individual)	1814 COBURG RD BLDG 2 EUGENE, OR 97401 (541) 342-3398	PacificSource Health Plans	Non-Participating Provider	YES
1225709728	VALENTINA SERRANO HILL (Individual)	4120 QUEST DR EUGENE, OR 97402 (541) 688-7278	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Florida Combined Life Humana Regence BlueCross BlueShield of Oregon UnitedHealthcare	Non-Participating Provider	NO
1225774714	LAUREN ANNE CUDA (Individual)	2377 OAKMONT WAY EUGENE, OR 97401 (541) 762-2747	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dominion National Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1235022682	MARIYA MELNIK COSTA DMD PC (Organization)	2233 WILLAMETTE ST STE B1 EUGENE, OR 97405 (541) 485-6644		Non-Participating Provider	NO
1235156720	ROBERT NEIL DUNHAM (Individual)	1730 CHAMBERS EUGENE, OR 97402 (541) 687-0173	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1235192105	STEPHEN JOHN DOSE (Individual)	1745 W 17TH AVE EUGENE, OR 97402 (541) 485-6645		Non-Participating Provider	NO
1235216680	RICHARD B GABRIEL (Individual)	717 COUNTRY CLUB ROAD EUGENE, OR 97401 (541) 687-0754		Non-Participating Provider	NO
1255401048	SHARI ANN HADLEY (Individual)	2460 WILLAMETTE STREET, UPPER LEVEL EUGENE, OR 97405 (541) 463-5206		Non-Participating Provider	NO
1255492047	WILLIAM B. SPROUL, D.M.D., P.C. (Organization)	51 SANTA CLARA AVE EUGENE, OR 97404 (541) 689-2001		Non-Participating Provider	NO
1255690699	EDWARD M. THATCHER (Organization)	132 E BROADWAY STE. 629 EUGENE, OR 97401 (541) 686-8326		Non-Participating Provider	NO
1255718086	ARROW DENTAL LLC (Organization)	890 SENECA RD STE 100 EUGENE, OR 97402 (541) 653-8610	Delta Dental Plan of Oregon	Non-Participating Provider	NO
1265572978	HENRY QUEST (Individual)	4120 QUEST DR EUGENE, OR 97402 (541) 688-7278		Non-Participating Provider	YES
1265868780	ANDREA SIVAVAJCHAIPONG (Individual)	1415 PEARL STREET EUGENE, OR 97401 (541) 344-8302	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dominion National Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1265907364	PNW DENTAL LLC (Organization)	1814 COBURG RD STE 2 EUGENE, OR 97401 (541) 342-3398		Non-Participating Provider	NO
1285043166	ANDREW TREVOR TILLMAN (Individual)	86479 N MODESTO DR EUGENE, OR 97402 (541) 729-9440	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Delta Dental Plan of Oregon Dominion National Florida Combined Life PacificSource Health Plans Paramount Paramount Dental Regence BlueCross BlueShield of Oregon	Non-Participating Provider	NO
1285082826	MATTHEW PERRY BYRNE (Individual)	2460 WILLAMETTE STREET LANE COMMUNITY COLLEGE DENTAL CL UPPER LEVEL EUGENE, OR 97405 (541) 463-5206	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1285197830	LASSEN DENTAL LLC (Organization)	4120 QUEST DR EUGENE, OR 97402 (541) 688-7278		Non-Participating Provider	NO
1285620724	JAMES MICHAEL FURGASON (Individual)	1507 COBURG RD EUGENE, OR 97401 (541) 687-1442		Non-Participating Provider	YES
1285680199	VINCENT VU (Individual)	1800 VALLEY RIVER DR EUGENE, OR 97401 (541) 607-7800	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Delta Dental Plan of Oregon Dentegra Insurance Company Dominion National Florida Combined Life Humana PacificSource Health Plans Paramount Paramount Dental Regence BlueCross BlueShield of Oregon Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1285887075	KERI L SMITH (Individual)	1203 WILLAMETTE ST STE 200 EUGENE, OR 97401 (503) 936-7134	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Florida Combined Life PacificSource Health Plans Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1295001501	JOSEPHINE STOKES, DDS, PC PEARLY WHITES OF EUGENE (Organization)	622 E 22ND AVE STE E EUGENE, OR 97405 (541) 686-3003		Non-Participating Provider	NO
1295159986	ANDREW N DOW DMD PC EUGENE PERIODONTICS & IMPLANT DENTISTRY (Organization)	4750 VILLAGE PLAZA LOOP STE 102 EUGENE, OR 97401 (541) 654-5482		Non-Participating Provider	NO
1295219202	KATHRYN MARIE ANDERSON (Individual)	1680 CHAMBERS ST STE 205 EUGENE, OR 97402 (541) 344-6199	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Delta Dental Plan of Oregon Florida Combined Life Paramount Paramount Dental Regence BlueCross BlueShield of Oregon UnitedHealthcare	Non-Participating Provider	NO
1295838696	DAVID RICHARD MATTHEWS (Individual)	2201 WILLAMETTE ST STE A EUGENE, OR 97405 (541) 343-3722	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas PacificSource Health Plans	Non-Participating Provider	NO
1295939593	LEAH M HICKSON (Individual)	440 W 6TH AVE STE C EUGENE, OR 97401 (541) 505-7258	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dominion National Florida Combined Life PacificSource Health Plans Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	YES
1306000518	BENJAMIN LAVARN THOMAS (Individual)	895 COUNTRY CLUB RD STE C150 EUGENE, OR 97401 (541) 484-1235		Non-Participating Provider	YES
1306008040	NICOLE LINA SWEET (Individual)	2703 DELTA OAKS DR SUITE 300 EUGENE, OR 97408 (541) 342-1503	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Renaissance Dental TRUASSURE INSURANCE COMPANY	Non-Participating Provider	NO
1306221445	EUGENE DENTAL GROUP ELIZABETH A. VIVONA DOW (Organization)	4750 VILLAGE PLAZA LOOP SUITE 200 EUGENE, OR 97401 (541) 683-8646		Non-Participating Provider	NO
1306524368	CONOR SCANLON (Individual)	1740 W 17TH AVE EUGENE, OR 97402 (458) 228-3271	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Dentegra Insurance Company Dominion National Florida Combined Life Humana Paramount Paramount Dental Regence BlueCross BlueShield of Oregon UnitedHealthcare	Non-Participating Provider	NO
1306973490	FREDERICK ROBERT O'DONNELL (Individual)	487 E 11TH AVE EUGENE, OR 97401 (541) 686-9740		Non-Participating Provider	NO
1316019417	IVANNA TOLMACH (Individual)	2703 DELTA OAKS DR EUGENE, OR 97408 (503) 952-2000		Non-Participating Provider	YES
1316051543	DAVID GEORGE NILES (Individual)	2555 CAL YOUNG RD EUGENE, OR 97401 (541) 484-1943		Non-Participating Provider	NO
1316226392	MARK A. O'HARA DDS, PC (Organization)	27 W 17TH AVE EUGENE, OR 97401 (541) 344-0413		Non-Participating Provider	NO
1316945041	KENNETH MAUGHAN JONES (Individual)	2233 WILLAMETTE ST BLDG E EUGENE, OR 97405 (541) 687-4867	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Plan of Oregon Dominion National Florida Combined Life Humana PacificSource Health Plans Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1326297524	OLGA WEINSTEIN (Individual)	3007 N DELTA HWY UNIT 203 EUGENE, OR 97408 (541) 687-1134		Non-Participating Provider	YES
1326555251	ERIK SEABERG (Individual)	1020 GREEN ACRES RD EUGENE, OR 97408 (458) 210-3542	Ambetter from Home State Health Ambetter from Nebraska Total Care Ambetter from Sunflower Health Plan Ambetter Health Ambetter Health of Delaware Ambetter of Oklahoma Delta Dental Plan of Oregon	Non-Participating Provider	YES
1326735697	BRAD A. CHVATAL, DMD, PC (Organization)	1400 VALLEY RIVER DR STE 240 EUGENE, OR 97401 (541) 683-8490		Non-Participating Provider	NO
1336575273	SONJA A. SPROUL, D.D.S., P.C. (Organization)	51 SANTA CLARA AVE EUGENE, OR 97404 (541) 689-2001		Non-Participating Provider	NO
1346350824	HOWARD F CURTIS (Individual)	51 SANTA CLARA AVE EUGENE, OR 97404 (541) 689-4268		Non-Participating Provider	NO
1346460797	DANIEL CALVIN HARPER (Individual)	2567 CAL YOUNG RD EUGENE, OR 97401 (541) 485-6888	PacificSource Health Plans	Non-Participating Provider	NO
1366527905	FRANK MANN STROUD (Individual)	2650 SUZANNE WAY, STE 150 EUGENE, OR 97408 (541) 485-8558		Non-Participating Provider	NO
1366738858	EUGENE KIDS' DENTIST, LLC A KIDZ DENTAL ZONE OF EUGENE, LLC (Organization)	4122 QUEST DR. EUGENE, OR 97402 (541) 844-1667	Delta Dental Plan of Oregon UnitedHealthcare	Non-Participating Provider	NO
1366836835	TYLER BRENT WHITING (Individual)	4122 QUEST DR EUGENE, OR 97402 (541) 844-1667	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Cigna Healthcare Delta Dental Plan of Oregon Dentegra Insurance Company Dominion National Florida Combined Life Humana Paramount Paramount Dental Regence BlueCross BlueShield of Oregon Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1366894032	FURGASON FIFE DENTISTRY LLC EUGENE SMILES (Organization)	1507 COBURG RD EUGENE, OR 97401 (541) 687-1442		Non-Participating Provider	NO
1376734186	IVAN P PASKALEV (Individual)	2400 WILLIAMETTE ST. EUGENE, OR 97405 (541) 726-9300	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Delta Dental Plan of Oregon Dominion National Florida Combined Life Humana PacificSource Health Plans Paramount Paramount Dental Regence BlueCross BlueShield of Oregon Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1376761908	JAN ELIZABETH HALVORSON (Individual)	UNIVERSITY OF OREGON HEALTH CENTER 1590 E 19TH AVE EUGENE, OR 97403 (541) 346-2791		Opted out of Medicare	YES
1386641447	W. GRAY GRIEVE (Individual)	995 WILLAGILLESPIE RD SUITE 400 EUGENE, OR 97401 (541) 484-1877		Non-Participating Provider	NO
1386643070	ROBERT W MOSER (Individual)	992 COUNTRY CLUB RD EUGENE, OR 97401 (541) 484-5667		Non-Participating Provider	NO
1386667434	BRIAN M ALLENDER (Individual)	330 S GARDEN WAY SUITE 140 EUGENE, OR 97401 (541) 686-9750	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas PacificSource Health Plans	Non-Participating Provider	YES
1386697886	OREGON DENTAL P.C. OREGON DENTAL CARE (Organization)	1800 VALLEY RIVER DR SUITE 200 EUGENE, OR 97401 (541) 607-7800		Non-Participating Provider	NO
1386710390	SUSAN WATKINS (Individual)	1814 COBURG RD STE 2 EUGENE, OR 97401 (541) 342-3398	BridgeSpan Health Company Florida Combined Life PacificSource Health Plans Regence BlueCross BlueShield of Oregon	Non-Participating Provider	NO
1386856524	DAMION DANIEL GILDAY (Individual)	4750 VILLAGE PLAZA LOOP SUITE 201 EUGENE, OR 97401 (541) 729-3669	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Plan of Oregon Dominion National Florida Combined Life Humana PacificSource Health Plans UnitedHealthcare	Non-Participating Provider	NO
1386960805	ELIZABETH A. VIVONA DOW (Individual)	4750 VILLAGE PLAZA LOOP STE 200 EUGENE, OR 97401 (541) 683-8646	BridgeSpan Health Company PacificSource Health Plans Regence BlueCross BlueShield of Oregon	Non-Participating Provider	YES
1396016770	BEN A SUTTER DMD PC (Organization)	1045 WILLAGILLESPIE RD SUITE 150 EUGENE, OR 97401 (541) 683-7500		Non-Participating Provider	NO
1396067955	JAMES EDWARD BARTA (Individual)	2215 WILLAMETTE ST SUITE A EUGENE, OR 97405 (541) 345-4076		Non-Participating Provider	NO
1396283016	VALLEY RIVER ENDODONTICS, LLC (Organization)	750 GOODPASTURE ISLAND RD EUGENE, OR 97401 (541) 484-0470		Non-Participating Provider	NO
1407075047	REGINALD SHEROD SADDORIS (Individual)	857 FAIRWAY VIEW DR EUGENE, OR 97401 (541) 344-7684		Non-Participating Provider	NO
1407977515	DANIEL RICHARD VODVARKA (Individual)	1045 WILLAGILLESPIE RD EUGENE, OR 97401 (541) 683-7500		Non-Participating Provider	NO
1417091562	ROBERT G. WHICKER (Individual)	300 COUNTRY CLUB RD STE 290 EUGENE, OR 97401 (541) 868-2008		Non-Participating Provider	NO
1417966698	JACK R ROCHELD (Individual)	1680 CHAMBERS ST STE 204 EUGENE, OR 97402 (541) 683-8646		Non-Participating Provider	NO
1427031350	HAYDEN FAMILY DENTAL GROUP (Organization)	1740 W 17TH AVE EUGENE, OR 97402 (541) 242-8904		Non-Participating Provider	NO
1427071661	COLIN KIPP HAMMON (Individual)	330 S GARDEN WAY SUITE 140 EUGENE, OR 97401 (541) 686-9750	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Delta Dental Plan of Oregon Dentegra Insurance Company Dominion National Florida Combined Life Humana PacificSource Health Plans Paramount Paramount Dental Regence BlueCross BlueShield of Oregon Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1427154418	MICHAEL J PURCELL (Individual)	748 GOODPASTURE ISLAND RD EUGENE, OR 97401 (541) 686-2446	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Dominion National Humana Paramount Paramount Dental Regence BlueCross BlueShield of Oregon Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1427200138	EUGENE ENDODOTICS LLC (Organization)	2233 WILLAMETTE ST STE E EUGENE, OR 97405 (541) 484-9018		Non-Participating Provider	NO
1427262526	VILLAGE PLAZA DENTAL (Organization)	4750 VILLAGE PLAZA LOOP #201 EUGENE, OR 97401 (541) 343-3822		Non-Participating Provider	NO
1427271923	KATRINA J. DREW (Individual)	748 GOODPASTURE ISLAND ROAD EUGENE, OR 97401 (541) 686-2446	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Dominion National Florida Combined Life PacificSource Health Plans Paramount Paramount Dental Regence BlueCross BlueShield of Oregon UnitedHealthcare	Non-Participating Provider	NO
1427797042	CLAIRE SKACH (Individual)	2457 OAKMONT WAY EUGENE, OR 97401 (541) 484-2046		Non-Participating Provider	NO
1437157377	GERALD ALAN HARPER (Individual)	2650 SUZANNE WAY SUITE 110 EUGENE, OR 97408 (541) 726-4690		Non-Participating Provider	NO
1437184645	SHANE S SAMY (Individual)	2233 WILLAMETTE ST STE D EUGENE, OR 97405 (541) 686-2931		Opted out of Medicare	YES
1437223021	MARK A. O'HARA (Individual)	27 W 17TH AVE EUGENE, OR 97401 (541) 344-0413		Non-Participating Provider	NO
1437288248	ROBERT GAY (Individual)	1800 VALLEY RIVER DR STE 200 EUGENE, OR 97401 (541) 607-7800	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Renaissance Dental Select Health	Non-Participating Provider	YES
1437444866	KEVIN C. SWEENEY (Individual)	911 COUNTRY CLUB RD STE 100 EUGENE, OR 97401 (541) 465-3939	Delta Dental Plan of Oregon	Opted out of Medicare	YES
1447046750	MOLLY E. VENDETTI D.M.D., P.C. (Organization)	10 COBURG RD STE 202 EUGENE, OR 97401 (541) 485-1131		Non-Participating Provider	NO
1447233309	CEDRIC L HAYDEN (Individual)	1740 W 17TH AVE EUGENE, OR 97402 (541) 242-8904		Non-Participating Provider	NO
1447259635	BRIAN THEODORE WORK (Individual)	1045 WILLAGILLESPIE RD #225 EUGENE, OR 97401 (541) 747-8272	PacificSource Health Plans	Non-Participating Provider	NO
1447271655	OREGON ORAL AND IMPLANT SURGEONS P.C. ORAL & MAXILLOFACIAL SURGEONS, P.C. (Organization)	330 S GARDEN WAY SUITE 140 EUGENE, OR 97401 (541) 686-9750	Moda Health Plan Inc.	Non-Participating Provider	NO
1447538954	TYLER DUANE CLARK (Individual)	27 W 17TH AVE EUGENE, OR 97401 (541) 344-0413	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company PacificSource Health Plans Regence BlueCross BlueShield of Oregon	Non-Participating Provider	NO
1467117911	HUSSAIN DENTAL LLC (Organization)	1055 VALLEY RIVER WAY EUGENE, OR 97401 (541) 505-3185	Delta Dental Plan of Oregon UnitedHealthcare	Non-Participating Provider	NO
1467673590	SMITH & JACKSON FAMILY DENTAL PC (Organization)	911 COUNTRY CLUB RD STE 222 EUGENE, OR 97401 (541) 342-2477		Non-Participating Provider	NO
1467900241	OREGON FAMILY ORTHODONTICS LLC (Organization)	4122 QUEST DRIVE EUGENE, OR 97402 (541) 359-3261		Non-Participating Provider	NO
1477031532	TIMOTHY LEE (Individual)	1680 CHAMBERS ST STE 205 EUGENE, OR 97402 (541) 344-6199	BridgeSpan Health Company Delta Dental Plan of Oregon Florida Combined Life Humana PacificSource Health Plans Regence BlueCross BlueShield of Oregon	Non-Participating Provider	NO
1477586485	ALICE EVELYN MOFFITT (Individual)	655 E 11TH AVE SUITE #3 EUGENE, OR 97401 (541) 345-3222	Delta Dental Plan of Oregon	Non-Participating Provider	NO
1477630739	ROBERT LEE GHEEN (Individual)	927 COUNTRY CLUB RD SUITE 100 EUGENE, OR 97401 (541) 683-0707		Non-Participating Provider	NO
1477656833	THOMAS KENT DEAN (Individual)	1995 BAILEY HILL RD EUGENE, OR 97405 (541) 344-4704	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Delta Dental Plan of Oregon Dentegra Insurance Company Dominion National Florida Combined Life Humana Paramount Paramount Dental Regence BlueCross BlueShield of Oregon UnitedHealthcare	Non-Participating Provider	NO
1487886073	MULFORD FAMILY DENTISTRY (Organization)	622 E. 22ND AVENUE BLDG G EUGENE, OR 97405 (541) 656-9100		Non-Participating Provider	NO
1497841936	SOUTH EUGENE DENTAL (Organization)	280 W 11TH AVE EUGENE, OR 97401 (541) 342-6160		Non-Participating Provider	NO
1508247552	JOHN C HARDY (Individual)	2457 OAKMONT WAY EUGENE, OR 97401 (541) 484-2046	PacificSource Health Plans	Non-Participating Provider	NO
1508800723	HENERY MARTIN BUMSTEAD (Individual)	2440 WILLAMETTE ST EUGENE, OR 97405 (541) 687-2343	Delta Dental Plan of Oregon PacificSource Health Plans	Non-Participating Provider	NO
1508839929	MICHAEL T DRYDEN DDS PC (Organization)	911 COUNTRY CLUB RD STE 140 EUGENE, OR 97401 (541) 484-0470		Non-Participating Provider	NO
1508855230	CAROLYN M. CANTRELL (Individual)	2233 WILLAMETTE ST SUITE B EUGENE, OR 97405 (541) 687-2156	BridgeSpan Health Company Delta Dental Plan of Oregon Regence BlueCross BlueShield of Oregon	Non-Participating Provider	YES
1518069038	NORMAN DEAN MAGNUSON (Individual)	2745 DELTA OAKS DR EUGENE, OR 97408 (541) 343-2735		Non-Participating Provider	NO
1518350032	DIEU-HIEN HUYNH (Individual)	2703 DELTA OAKS DR SUITE 300 EUGENE, OR 97408 (503) 952-2125		Non-Participating Provider	YES
1528253135	LUKE GAMBEE (Individual)	1740 W 17TH AVE EUGENE, OR 97402 (541) 484-1835	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1528735214	CONNER KANE (Individual)	1020 GREEN ACRES RD EUGENE, OR 97408 (458) 228-3779	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Dentegra Insurance Company Dominion National Florida Combined Life Humana Paramount Paramount Dental Regence BlueCross BlueShield of Oregon UnitedHealthcare	Non-Participating Provider	YES
1538183983	DANIEL JAMES ERICKSON (Individual)	2233 WILLAMETTE ST BLDG E EUGENE, OR 97405 (541) 484-9018		Non-Participating Provider	NO
1538435706	LEAH M HICKSON, DDS, PC SERENITY DENTAL (Organization)	2233 WILLAMETTE ST SUITE A EUGENE, OR 97405 (541) 686-9545		Non-Participating Provider	NO
1538716675	IVAN P PASKALEV DMD PC (Organization)	2400 WILLAMETTE ST EUGENE, OR 97405 (541) 485-0272	BridgeSpan Health Company Regence BlueCross BlueShield of Oregon	Non-Participating Provider	NO
1548302912	ROBERT J GEMMELL (Individual)	1775 RIVER RD EUGENE, OR 97404 (541) 689-1287	PacificSource Health Plans	Non-Participating Provider	NO
1548319767	TIAN XIA (Individual)	1380 VILLARD ST EUGENE, OR 97403 (541) 342-5578		Non-Participating Provider	YES
1548399405	THOMAS P DAILEY (Individual)	1800 VALLEY RIVER DR # SUTE200 EUGENE, OR 97401 (541) 607-7800	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Dentegra Insurance Company Dominion National Florida Combined Life Humana PacificSource Health Plans Paramount Paramount Dental Regence BlueCross BlueShield of Oregon Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1558035576	RYAN LAND (Individual)	4780 VILLAGE PLAZA LOOP STE 210 EUGENE, OR 97401 (541) 485-6646	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Plan of Oregon Dentegra Insurance Company Dominion National Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1558168500	CAL YOUNG FAMILY DENTAL PC (Organization)	1310 COBURG RD STE 2 EUGENE, OR 97401 (541) 357-4938		Non-Participating Provider	NO
1558321455	LARRY MICHAEL OVER (Individual)	911 COUNTRY CLUB RD. STE 240 EUGENE, OR 97401 (541) 687-1499		Opted out of Medicare	YES
1558558973	ROBERT GLEN RUST (Individual)	358 E 40TH AVE EUGENE, OR 97405 (541) 342-1072	PacificSource Health Plans	Non-Participating Provider	NO
1558645499	KATHARINE S BERKA (Individual)	1055 VALLEY RIVER WAY EUGENE, OR 97401 (541) 505-3185	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BridgeSpan Health Company Delta Dental Plan of Oregon Humana PacificSource Health Plans Paramount Paramount Dental Regence BlueCross BlueShield of Oregon	Non-Participating Provider	NO
1568130219	JACOB GUBRUD (Individual)	1775 RIVER RD EUGENE, OR 97404 (541) 689-1287	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dentegra Insurance Company Dominion National Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1568442820	THOMAS MATTHEW JACKS (Individual)	2650 SUZANNE WAY STE 110 EUGENE, OR 97408 (541) 726-4690		Opted out of Medicare	YES
1578542361	TYLER LEE CLARK (Individual)	330 S GARDEN WAY STE 140 EUGENE, OR 97401 (541) 686-9750	BridgeSpan Health Company Delta Dental Plan of Oregon Moda Health Plan Inc. Regence BlueCross BlueShield of Oregon	Opted out of Medicare	YES
1578878435	SUSMITHA RAO KOTI (Individual)	1740 W 17TH AVE EUGENE, OR 97402 (458) 210-3543	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Delta Dental Plan of Oregon Dentegra Insurance Company Dominion National Florida Combined Life Humana Paramount Paramount Dental Regence BlueCross BlueShield of Oregon Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1588297279	DENNIS M DUNNE DDS PC (Organization)	1600 EXECUTIVE PKWY STE 350 EUGENE, OR 97401 (541) 485-0175		Non-Participating Provider	NO
1588744809	MICHAEL THOMAS DRYDEN (Individual)	750 GOODPASTURE ISLAND RD EUGENE, OR 97401 (541) 484-0470		Non-Participating Provider	NO
1598250987	HARMEET KAUR (Individual)	2377 OAKMONT WAY # B EUGENE, OR 97401 (510) 362-8696	BridgeSpan Health Company Humana PacificSource Health Plans Regence BlueCross BlueShield of Oregon	Non-Participating Provider	YES
1598501900	KARISHMA KHUNGER (Individual)	2703 DELTA OAKS DR STE 300 EUGENE, OR 97408 (855) 433-6825		Non-Participating Provider	YES
1598508798	JIN XU (Individual)	1400 VALLEY RIVER DR STE 240 EUGENE, OR 97401 (541) 683-8490		Non-Participating Provider	NO
1598972903	CASCADE DENTAL (Organization)	1800 VALLEY RIVER DR FOURTH FLOOR EUGENE, OR 97401 (541) 344-6058		Non-Participating Provider	NO
1609208040	SUNG YEON JI (Individual)	927 COUNTRY CLUB RD STE 100 EUGENE, OR 97401 (458) 201-8471	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Delta Dental Plan of Oregon Dominion National Florida Combined Life Humana PacificSource Health Plans Paramount Paramount Dental Regence BlueCross BlueShield of Oregon UnitedHealthcare	Non-Participating Provider	YES
1609906148	OLGA WEINSTEIN DMD PC (Organization)	258 E 10TH AVE EUGENE, OR 97401 (541) 687-1134		Non-Participating Provider	NO
1619025988	KAE S.C. CHENG (Individual)	1740 W 17TH AVE EUGENE, OR 97402 (888) 468-0022	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Plan of Oregon Dentegra Insurance Company Dominion National Florida Combined Life Humana PacificSource Health Plans Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1619087798	PHILIP CHARLET GISSEL (Individual)	366 E 40TH AVE STE 210 EUGENE, OR 97405 (541) 484-6974		Non-Participating Provider	NO
1619188398	MATTHEW LOWELL MCLAUGHLIN (Individual)	2457 OAKMONT WAY EUGENE, OR 97401 (541) 484-2046	PacificSource Health Plans	Non-Participating Provider	NO
1619616380	DENTAL PROFESSIONALS OF OREGON, P.C. (Organization)	2567 CAL YOUNG RD EUGENE, OR 97401 (541) 485-6888	Delta Dental Plan of Oregon	Non-Participating Provider	NO
1619968989	ROBERT ALAN CARMICHAEL (Individual)	401 EAST 10TH STE 300 EUGENE, OR 97401 (541) 485-3618	PacificSource Health Plans	Non-Participating Provider	NO
1619981859	TODD S TUCKER (Individual)	330 S GARDEN WAY SUITE 140 EUGENE, OR 97401 (541) 686-9750	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Moda Health Plan Inc. PacificSource Health Plans	Accepts Medicare	YES
1629185889	BRAD ALAN CHVATAL (Individual)	1680 CHAMBERS ST SUITE 205 EUGENE, OR 97402 (541) 683-8490		Non-Participating Provider	NO
1629330949	JASON S ELLIS (Individual)	440 COBURG RD SUITE 104 EUGENE, OR 97401 (541) 343-1877	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company PacificSource Health Plans Regence BlueCross BlueShield of Oregon	Non-Participating Provider	NO
1629444336	VILIJA HUDSON (Individual)	622 E 22ND AVE STE F EUGENE, OR 97405 (630) 209-1444	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	YES
1639178957	EDWARD MEAD THATCHER (Individual)	132 E BROADWAY SUITE 629 EUGENE, OR 97401 (541) 686-8326		Non-Participating Provider	NO
1639327158	KIMBERLY TUSTIN (Individual)	1800 VALLEY RIVER DR STE 400 EUGENE, OR 97401 (541) 344-6058	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Delta Dental Plan of Oregon Dentegra Insurance Company Dominion National Florida Combined Life Humana PacificSource Health Plans Paramount Paramount Dental Regence BlueCross BlueShield of Oregon Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1639512254	SETH ADAM HOLLAND (Individual)	330 S GARDEN WAY STE 190 EUGENE, OR 97401 (541) 747-0101	BridgeSpan Health Company Delta Dental Plan of Oregon PacificSource Health Plans Regence BlueCross BlueShield of Oregon	Non-Participating Provider	NO
1639586340	TYLER SCHULTZE (Individual)	1740 W 17TH AVE EUGENE, OR 97402 (888) 468-0022	Anthem Blue Cross and Blue Shield BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana UnitedHealthcare	Non-Participating Provider	NO
1649005182	TYLER WHITING PEDIATRIC DENTISTRY PC (Organization)	748 GOODPASTURE ISLAND RD EUGENE, OR 97401 (541) 686-2446		Non-Participating Provider	NO
1649534124	ANDY BENNION D M D M S P C (Organization)	2233 WILLAMETTE ST STE A EUGENE, OR 97405 (541) 687-1151		Non-Participating Provider	NO
1649589326	PRIYA ISHWAR BHAVAN (Individual)	1680 CHAMBERS ST SUITE 204 EUGENE, OR 97402 (541) 345-2042	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana Paramount Paramount Dental Premera Blue Cross Blue Shield of Alaska UnitedHealthcare	Non-Participating Provider	NO
1649668609	JOE W. MARTIN,D.D.S.,P.C. (Organization)	1400 EXECUTIVE PKWY STE 310 EUGENE, OR 97401 (541) 485-4646		Non-Participating Provider	NO
1649684382	MELANIE RAWLINGS (Individual)	1055 VALLEY RIVER WAY EUGENE, OR 97401 (541) 505-3185	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Delta Dental Plan of Oregon Dominion National Florida Combined Life Humana Paramount Paramount Dental Regence BlueCross BlueShield of Oregon UnitedHealthcare	Non-Participating Provider	NO
1669645297	PETER C. SNYDER, D.D.S., P.C. (Organization)	3647 W 18TH AVE EUGENE, OR 97402 (541) 686-2444		Non-Participating Provider	NO
1669709812	JACK BENJAMIN DUNHAM (Individual)	4000 E 30TH AVE EUGENE, OR 97405 (541) 463-3000		Non-Participating Provider	YES
1669857371	EMILY CASE (Individual)	1055 VALLEY RIVER WAY EUGENE, OR 97401 (541) 505-3185	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Delta Dental Plan of Oregon Dentegra Insurance Company Dominion National Florida Combined Life Humana PacificSource Health Plans Paramount Paramount Dental Regence BlueCross BlueShield of Oregon Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1679252407	DEVIKA REDDY DHARMALA (Individual)	1055 VALLEY RIVER WAY EUGENE, OR 97401 (541) 505-3185	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Dental Health Services Dentegra Insurance Company Dominion National Florida Combined Life Humana Paramount Paramount Dental Regence BlueCross BlueShield of Oregon Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1679550602	DAVID ANDERSON BENNION (Individual)	2233-A WILLAMETTE ST EUGENE, OR 97405 (541) 687-1151		Non-Participating Provider	NO
1679738850	JIM EVERETT RUCKMAN (Individual)	750 GOODPASTURE ISLAND RD EUGENE, OR 97401 (541) 484-0470		Non-Participating Provider	NO
1679768535	MEGHANN KIDD (Individual)	595 W 8TH AVE EUGENE, OR 97401 (541) 343-1124	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1689155046	RYAN WESLEY MAGNUSON (Individual)	2745 DELTA OAKS DR EUGENE, OR 97408 (541) 343-2735		Non-Participating Provider	NO
1689666455	LOHRING SHERMAN MILLER (Individual)	1310 COBURG RD SUITE 2 EUGENE, OR 97401 (514) 393-6298	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Plan of Oregon PacificSource Health Plans	Non-Participating Provider	NO
1689671844	GEORGE ALTON MCCULLY (Individual)	622 E 22ND AVE SUITE B EUGENE, OR 97405 (541) 485-1444		Non-Participating Provider	NO
1699885442	JOHN THOMAS ROBINSON (Individual)	622 E 22ND SUITE D EUGENE, OR 97405 (541) 342-1187		Non-Participating Provider	YES
1699887448	LALEH RAHIMI REZAEE (Individual)	2400 WILLAMETTE ST EUGENE, OR 97405 (541) 485-5245	BridgeSpan Health Company Delta Dental Plan of Oregon PacificSource Health Plans Regence BlueCross BlueShield of Oregon	Non-Participating Provider	NO
1700036407	FRED C PLATT (Individual)	1110 FAIRFIELD AVE EUGENE, OR 97402 (541) 689-1645		Non-Participating Provider	NO
1700152188	CRIS DENTAL GROUP (Organization)	2377 OAKMONT WAY EUGENE, OR 97401 (541) 672-2747		Non-Participating Provider	NO
1710197728	BENJAMIN R THORNTON (Individual)	1800 VALLEY RIVER DR SUITE #201 EUGENE, OR 97401 (541) 686-1732	Delta Dental Plan of Oregon Florida Combined Life PacificSource Health Plans UnitedHealthcare	Non-Participating Provider	NO
1710237102	MICHAEL J. DEVEREUX DDS, PC (Organization)	2477 OAKMONT WAY EUGENE, OR 97401 (541) 484-1292		Non-Participating Provider	NO
1710291810	CAREY EDWARD COONEY (Individual)	280 W 11TH AVE EUGENE, OR 97401 (541) 342-6160		Non-Participating Provider	NO
1710985106	FIRAS SALHI (Individual)	2710 DELTA OAKS DR EUGENE, OR 97408 (541) 484-9106	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dominion National Humana PacificSource Health Plans Paramount Paramount Dental	Non-Participating Provider	NO
1720235161	OREGON FAMILY DENTAL, P.C. (Organization)	1079 CHAMBERS ST EUGENE, OR 97402 (541) 344-7900	Delta Dental Plan of Oregon	Non-Participating Provider	NO
1720461981	AARON LAU (Individual)	890 SENECA RD STE 100 EUGENE, OR 97402 (541) 485-1984		Non-Participating Provider	NO
1720517105	IAN JEFFREY SALISBURY (Individual)	2457 OAKMONT WAY EUGENE, OR 97401 (541) 521-5733	PacificSource Health Plans	Non-Participating Provider	NO
1720574163	TY JAROS (Individual)	1775 RIVER RD EUGENE, OR 97404 (541) 689-1287	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas PacificSource Health Plans	Non-Participating Provider	YES
1720649668	MATTHEW STEVEN COLLINS (Individual)	1055 VALLEY RIVER WAY EUGENE, OR 97401 (541) 255-2205	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Dominion National Florida Combined Life Paramount Paramount Dental Regence BlueCross BlueShield of Oregon Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1720766579	YASHASWI BAJRACHARYA (Individual)	1055 VALLEY RIVER WAY EUGENE, OR 97401 (541) 505-3185	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Delta Dental Plan of Oregon Dental Health Services Dentegra Insurance Company Dominion National Florida Combined Life Humana Paramount Paramount Dental Regence BlueCross BlueShield of Oregon Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1730181454	JOHN J PARK (Individual)	1079 CHAMBERS ST EUGENE, OR 97402 (541) 344-7900	BridgeSpan Health Company Delta Dental Plan of Oregon PacificSource Health Plans Regence BlueCross BlueShield of Oregon	Non-Participating Provider	NO
1730437450	SONJA ANN SPROUL HAMON (Individual)	1585 COBURG ROAD EUGENE, OR 97401 (541) 689-2001	PacificSource Health Plans	Non-Participating Provider	YES
1740320464	DR. HENRY QUEST D.M.D. PC QUEST DENTAL GROUP (Organization)	4120 QUEST DR EUGENE, OR 97402 (541) 688-7278		Non-Participating Provider	NO
1740594571	INDERRAJ DHILLON (Individual)	1740 W 17TH AVE EUGENE, OR 97402 (458) 210-3543	Ambetter from Arizona Complete Health Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BannerAetna BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Arizona BridgeSpan Health Company Cigna Healthcare Delta Dental Plan of Oregon Dominion National EMI Health Florida Combined Life Guardian Humana Paramount Paramount Dental Regence BlueCross BlueShield of Oregon Renaissance Dental Solstice Healthplans of Arizona Inc. TRUASSURE INSURANCE COMPANY UnitedHealthcare	Non-Participating Provider	YES
1740762699	PATRICK JAMISON FINN (Individual)	2703 DELTA OAKS DR STE 300 EUGENE, OR 97408 (855) 433-6825	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Delta Dental Plan of Oregon Dentegra Insurance Company Dominion National Florida Combined Life Humana PacificSource Health Plans Paramount Paramount Dental Regence BlueCross BlueShield of Oregon UnitedHealthcare	Non-Participating Provider	YES
1750037206	EUGENE DENTAL PARTNERS (Organization)	2457 OAKMONT WAY EUGENE, OR 97401 (541) 484-2046		Non-Participating Provider	NO
1750811485	STEFFEN NIELS LASSEN (Individual)	4120 QUEST DR EUGENE, OR 97402 (541) 688-7278	BridgeSpan Health Company Regence BlueCross BlueShield of Oregon	Non-Participating Provider	YES
1770561243	MARK L WORTHINGTON (Individual)	2563 CAL YOUNG RD EUGENE, OR 97401 (541) 484-9262		Non-Participating Provider	NO
1790035970	WILLIAM B SPROUL (Individual)	51 SANTA CLARA AVE EUGENE, OR 97404 (541) 689-2001		Non-Participating Provider	NO
1790172831	DR. SHAWN ECKSTROM, D.D.S., P.C. NORTHWEST EUGENE FAMILY DENTAL (Organization)	51 SANTA CLARA AVE EUGENE, OR 97404 (541) 686-4567		Non-Participating Provider	NO
1790421923	DENTAL HEALTH PROFESSIONALS OF OREGON, PC EUGENE DENTAL ASSOCIATES (Organization)	3647 W 18TH AVE EUGENE, OR 97402 (541) 686-2444		Non-Participating Provider	NO
1790710473	PETER CHARLES SNYDER (Individual)	3647 W 18TH AVE EUGENE, OR 97402 (541) 686-2444	PacificSource Health Plans Renaissance Dental	Non-Participating Provider	YES
1790870012	TERRI L. BAARSTAD, DMD, PC SMILEALIVE (Organization)	1045 WILLAGILLESPIE RD STE 250 EUGENE, OR 97401 (541) 683-8396		Non-Participating Provider	NO
1801062823	PETER A BERGESON (Individual)	1680 CHAMBERS ST SUITE 204 EUGENE, OR 97402 (541) 345-2042	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Delta Dental Plan of Oregon Dentegra Insurance Company Dominion National Florida Combined Life PacificSource Health Plans Paramount Paramount Dental Regence BlueCross BlueShield of Oregon Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1801247002	JILLIAN ROSE (Individual)	2457 OAKMONT WAY EUGENE, OR 97401 (541) 225-5214	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1801295324	ROBERT GEMMELL D.M.D., P.C DISTINCTIVEDENTISTRY (Organization)	1775 RIVER RD EUGENE, OR 97404 (541) 689-1287		Non-Participating Provider	NO
1801362470	SCOTT G BAKER (Individual)	2455 YORK ST EUGENE, OR 97404 (541) 688-0329	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Delta Dental Plan of Oregon Dentegra Insurance Company Dominion National Florida Combined Life PacificSource Health Plans Paramount Paramount Dental Regence BlueCross BlueShield of Oregon UnitedHealthcare	Non-Participating Provider	YES
1801636394	HELEN HYEYOUNG MOON (Individual)	2703 DELTA OAKS DR STE 300 EUGENE, OR 97408 (855) 433-6825		Non-Participating Provider	NO
1801902101	DENTISTRY FOR CHILDREN NW LLC (Organization)	2215 WILLAMETTE ST A EUGENE, OR 97405 (541) 345-4076		Non-Participating Provider	NO
1811993819	JEDIDIAH R GASS (Individual)	992 COUNTRY CLUB RD STE 102 EUGENE, OR 97401 (541) 687-1161		Non-Participating Provider	NO
1811998669	MARY ELIZABETH VENDETTI (Individual)	10 COBURG RD STE 202 EUGENE, OR 97401 (541) 485-1131		Non-Participating Provider	YES
1821302639	DAN JAMES FLOYD (Individual)	1020 GREEN ACRES RD STE 15 EUGENE, OR 97408 (866) 633-3113	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Regence BlueCross BlueShield of Oregon	Non-Participating Provider	YES
1821378142	RONALD J. LEVINE, D.M.D. (Organization)	244 COUNTRY CLUB RD STE B EUGENE, OR 97401 (541) 686-2443		Non-Participating Provider	NO
1821401324	BRADLEY JASON FIFE (Individual)	1507 COBURG RD EUGENE, OR 97401 (541) 687-1442		Non-Participating Provider	YES
1821448622	MICHELLE GARNACHE (Individual)	1055 VALLEY RIVER WAY EUGENE, OR 97401 (760) 216-3599	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dominion National Florida Combined Life Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1821513821	GURPREET GILL (Individual)	2703 DELTA OAKS DR EUGENE, OR 97408 (541) 683-5108		Non-Participating Provider	YES
1831402916	HAFSTEINN EGGERTSSON (Individual)	2703 DELTA OAKS DR EUGENE, OR 97408 (541) 683-5108	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life BridgeSpan Health Company Delta Dental Plan of Oregon Dentegra Insurance Company Dominion National Florida Combined Life PacificSource Health Plans Paramount Paramount Dental Regence BlueCross BlueShield of Oregon UnitedHealthcare	Non-Participating Provider	YES
1831475854	JONATHAN P HARMON (Individual)	1814 COBURG RD EUGENE, OR 97401 (801) 602-2000	BridgeSpan Health Company Delta Dental Plan of Oregon Regence BlueCross BlueShield of Oregon	Non-Participating Provider	NO
1841548633	BINDER FAMILY DENTAL GROUP, LLC (Organization)	1110 FAIRFIELD AVE EUGENE, OR 97402 (541) 689-1645		Non-Participating Provider	NO
1841549987	SCOTT ANDREWS (Individual)	1055 VALLEY RIVER WAY EUGENE, OR 97401 (541) 505-3185	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Plan of Oregon Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1851470280	JEFFREY D. PHELPS (Individual)	3225 WILLAMETTE ST STE 1 EUGENE, OR 97405 (541) 686-9715		Non-Participating Provider	NO
1851574867	MICHAEL FRANK KELLEY (Individual)	1400 MILL ST EUGENE, OR 97401 (541) 344-8328	Florida Combined Life	Non-Participating Provider	NO
1861499683	ANDREW HOLUB (Individual)	1045 WILLAGILLESPIE RD EUGENE, OR 97401 (541) 485-8717		Non-Participating Provider	NO
1861519035	JESSICA ROSE JACKSON (Individual)	911 COUNTRY CLUB RD SUITE 222 EUGENE, OR 97401 (541) 342-2477	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas PacificSource Health Plans	Non-Participating Provider	NO
1871901371	TYLER PETERSCHMIDT (Individual)	4120 QUEST DR EUGENE, OR 97402 (541) 688-7278	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Florida Combined Life PacificSource Health Plans Regence BlueCross BlueShield of Oregon Renaissance Dental	Non-Participating Provider	YES
1881701951	SHAHRAM REZAEE (Individual)	2400 WILLAMETTE ST EUGENE, OR 97401 (541) 683-8034	BridgeSpan Health Company Delta Dental Plan of Oregon PacificSource Health Plans Regence BlueCross BlueShield of Oregon	Non-Participating Provider	NO
1881754372	ROBERT COOK COLLINS (Individual)	2703 DELTA OAKS DR EUGENE, OR 97408 (541) 683-5108		Non-Participating Provider	YES
1881767291	THOMAS HOUSTON (Individual)	4780 VILLAGE PLAZA LOOP STE 210 EUGENE, OR 97401 (541) 485-6646	BridgeSpan Health Company Florida Combined Life Humana PacificSource Health Plans Regence BlueCross BlueShield of Oregon UnitedHealthcare	Non-Participating Provider	YES
1881915858	HOLLY HYUNJUNG PARK-NAH (Individual)	3835 SPRING BLVD EUGENE, OR 97405 (714) 357-9333	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Delta Dental Plan of Oregon Humana PacificSource Health Plans Paramount Paramount Dental Regence BlueCross BlueShield of Oregon Renaissance Dental	Non-Participating Provider	YES
1891851424	KARL WAGENKNECHT (Individual)	1380 VILLARD ST EUGENE, OR 97403 (541) 342-5578		Non-Participating Provider	NO
1891857462	DANIEL POULSON BITNER (Individual)	911 COUNTRY CLUB RD SUITE # 140 EUGENE, OR 97401 (541) 484-0470		Non-Participating Provider	NO
1891992970	RACHELLE MOLINA BUNNAO (Individual)	2233 WILLAMETTE ST SUITE E EUGENE, OR 97405 (541) 484-9018		Non-Participating Provider	NO
1902019565	DELTA OAKS DENTAL CARE (Organization)	2710 DELTA OAKS DR EUGENE, OR 97408 (541) 484-9106		Non-Participating Provider	NO
1902965569	DONALD RAY DEXTER (Individual)	2911 TENNYSON AVE STE 203 EUGENE, OR 97408 (541) 844-1517	PacificSource Health Plans	Opted out of Medicare	YES
1912449810	KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST VALLEY RIVER DENTAL OFFICE (Organization)	1011 VALLEY RIVER WAY SUITE 116B EUGENE, OR 97401 (800) 813-2000		Non-Participating Provider	NO
1912687450	CORAL ESTHER STROMG CREIGHTON (Individual)	1740 W 17TH AVE EUGENE, OR 97402 (458) 228-3271	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dentegra Insurance Company Dominion National Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1912902172	KENNETH A HAWK (Individual)	1999 WILLAMETTE ST EUGENE, OR 97405 (541) 484-2007		Non-Participating Provider	NO
1922160506	RITA CHRISTINE FELDMANIS-CLEVER (Individual)	2703 DELTA OAKS DR EUGENE, OR 97408 (541) 342-4292	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental Plan of Oregon Dominion National Florida Combined Life Humana PacificSource Health Plans Paramount Paramount Dental	Non-Participating Provider	NO
1932188406	DEREK JAMES BEVANS (Individual)	721 COUNTRY CLUB RD EUGENE, OR 97401 (541) 686-1199	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Paramount Paramount Dental Regence BlueCross BlueShield of Oregon	Non-Participating Provider	YES
1932412194	LINDA G VANMIERLO (Individual)	895 COUNTRY CLUB RD SUITE C-100 EUGENE, OR 97401 (541) 685-7289	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1932527314	REZAEE DENTAL (Organization)	2400 WILLAMETTE ST EUGENE, OR 97405 (541) 683-8034		Non-Participating Provider	NO
1932835873	RUCHA KAPADIA (Individual)	1020 GREEN ACRES RD EUGENE, OR 97408 (458) 210-3542	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Dentegra Insurance Company Dominion National Florida Combined Life Humana Paramount Paramount Dental Regence BlueCross BlueShield of Oregon UnitedHealthcare	Non-Participating Provider	YES
1942279831	JAY C LAMB (Individual)	4750 VILLAGE PLAZA LOOP SUITE #201 EUGENE, OR 97401 (541) 343-3822		Non-Participating Provider	NO
1942588991	DEREK S YOUNGBLOOD (Individual)	1740 W 17TH AVE EUGENE, OR 97402 (541) 484-1835	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Delta Dental Plan of Oregon Dental Health Services Dentegra Insurance Company Dominion National Florida Combined Life Humana PacificSource Health Plans Paramount Paramount Dental Regence BlueCross BlueShield of Oregon Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1942632955	CHAD WILLIAM HARTZELL (Individual)	1740 W 17TH AVE EUGENE, OR 97402 (888) 468-0022	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas BridgeSpan Health Company Delta Dental Plan of Oregon PacificSource Health Plans Regence BlueCross BlueShield of Oregon	Non-Participating Provider	NO
1952321283	SHANE SAMY D.M.D.,P.C. (Organization)	2233 WILLAMETTE ST.,BLDG D EUGENE, OR 97405 (541) 686-2931		Non-Participating Provider	NO
1952324378	SIMON YAKLIGIAN (Individual)	4765 VILLAGE PLAZA LOOP STE 101 EUGENE, OR 97401 (541) 681-9999	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1952361008	JOSEPH WILLIAM MARTIN (Individual)	1400 EXECUTIVE PKWY SUITE 310 EUGENE, OR 97401 (541) 485-4646		Non-Participating Provider	YES
1952489908	STEVEN LEE HADLEY (Individual)	2460 WILLIAMETTE STREET, UPPER LEVEL EUGENE, OR 97405 (541) 463-5206	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1952566333	HOWARD F. CURTIS (Organization)	51 SANTA CLARA AVE EUGENE, OR 97404 (541) 689-4268		Non-Participating Provider	NO
1952882185	NORTHWEST ORAL AND IMPLANT SURGERY (Organization)	911 COUNTRY CLUB RD STE 100 EUGENE, OR 97401 (541) 465-9898		Non-Participating Provider	NO
1952970352	ADRIANA CANDACE REPPELL (Individual)	2703 DELTA OAKS DR STE 300 EUGENE, OR 97408 (855) 433-6825	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dentegra Insurance Company Dominion National Humana Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	YES
1962394312	MARK STAPLETON DMD, MSD, PC (Organization)	2991 HILYARD ST EUGENE, OR 97405 (541) 736-5525		Non-Participating Provider	NO
1962435982	PAUL ALAN NEWMAN (Individual)	655 E 11TH AVE SUITE #3 EUGENE, OR 97401 (541) 345-3222		Non-Participating Provider	NO
1962583468	MARK D ESSNER DDS PC (Organization)	1745 W 17TH AVE EUGENE, OR 97402 (541) 485-6646		Non-Participating Provider	NO
1972646586	KENNETH M. SHOU (Individual)	4120 QUEST DR EUGENE, OR 97402 (541) 688-7278	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana PacificSource Health Plans Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1982013116	JEFFREY STEED (Individual)	750 GOODPASTURE ISLAND RD EUGENE, OR 97401 (541) 484-0470		Non-Participating Provider	NO
1982619342	WELLNESS CENTERED DENTISTRY (Organization)	300 COUNTRY CLUB RD SUITE 290 EUGENE, OR 97401 (541) 868-2008		Non-Participating Provider	NO
1992008858	HOLUB MCKIM L.L.C. (Organization)	1045 WILLAGILLESPIE RD SUITE 125 EUGENE, OR 97401 (541) 485-8717		Non-Participating Provider	NO

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